N-(mercaptoalkyl)ureas and carbamates

ABSTRACT

Novel N-(mercaptoalkyl)urea or carbamates of the formulae I and II ##STR1## wherein A is a monocyclic or bicyclic arylene or heteroarylene; 
     Q is hydrogen or R 9  CO--; 
     Y is --O--, --S-- or --NR 8  --; 
     R 1  is lower alkyl, cyclolower alkyl, aryl or heteroaryl; 
     R 2  and R 8  are independently hydrogen; lower alkyl; cyclolower alkyl; lower alkyl substituted with hydroxy, lower alkoxy, mercapto, lower alkylthio, aryl or heteroaryl; aryl; or heteroaryl; 
     R 3  is --OR 5  or --NR 5  R 6  ; 
     R 4  is --(CH 2 ) q  R 7  ; or R 2  and R 4  and the carbons to which they are attached complete a 5-, 6- or 7-membered carbocyclic ring; 
     R 5  and R 6  are independently selected from the group consisting of hydrogen, lower alkyl, hydroxy lower alkyl, lower alkoxy lower alkyl and aryl lower alkyl, or R 5  and R 6  together with the nitrogen to which they are attached form a 5-, 6- or 7-membered ring; 
     R 7  is hydrogen, hydroxy, lower alkoxy, lower alkanoyloxy, mercapto, lower alkylthio, aryl or heteroaryl; 
     R 9  is hydrogen, lower alkyl or aryl; 
     m is 1 or 2; 
     n is 0, 1 or 2; 
     p is 0 or 1; and 
     q is 0, 1 or 2; 
     and the pharmaceutically acceptable salts thereof useful in the treatment of cardiovascular disorders, nephrotoxicity and pain conditions and combinations of N-(mercaptoalkyl)ureas or carbamates and atrial natriuretic factors or angiotensin converting enzyme inhibitors useful for treating cardiovascular disorders are disclosed.

BACKGROUND OF THE INVENTION

The present invention relates to N-(mercaptoalkyl)ureas and carbamates useful in the treatment of cardiovascular disorders and pain conditions.

Cardiovascular disorders which may be treated with compounds of the present invention include hypertension, congestive heart failure, edema and renal insufficiency.

Human hypertension represents a disease of multiple etiologies. Included among these is a sodium and volume dependent low renin form of hypertension. Drugs that act to control one aspect of hypertension will not necessarily be effective in controlling another.

Enkephalin is a natural opiate receptor agonist which is known to produce a profound analgesia when injected into the brain ventricle of rats. It is also known in the art that enkephalin is acted upon by a group of enzymes known generically as enkephalinases, which are also naturally occurring, and is inactivated thereby.

A variety of mercaptoacylamino acids are known as enkephalinase inhibitors useful as analgesics and in the treatment of hypertension. U.S. Pat. No. 4,774,256 discloses compounds of the formula ##STR2## wherein n is 1-15 and R₂ and R₃ are various aryl, arylalkyl and heteroarylalkyl groups. The compounds are disclosed as having enkephalinase inhibiting activity.

U.S. Pat. No. 4,801,609 to Haslanger et al discloses antihypertensive compounds of the formula ##STR3## wherein n is 0 or 1; R¹ is substituted phenyl and R² is substituted alkyl, phenyl or heteroaryl.

U.S. Pat. No. 4,513,009 to Roques et al discloses similar compounds and those having the formula ##STR4## wherein R¹ includes alkyl and optionally substituted phenyl, n is 0 or 1 and R² includes phenyl and substituted alkyl. The compounds are disclosed by Roques et al as principally having enkephalinase inhibitory activity, but are also said to be antihypertensives.

European Patent Application 161,769 discloses enkephalinase inhibitors of the formula ##STR5## wherein R₂ includes alkyl, aryl and arylalkyl, R₃ includes alkyl, aryl, heteroaryl, arylalkyl and heteroarylalkyl, and n is 1-15.

It is known that the heart secretes a series of peptide hormones called atrial natriuretic factors (ANF) which help to regulate blood pressure, blood volume and the excretion of water, sodium and potassium. ANF were found to produce a short-term reduction in blood pressure and to be useful in the treatment of congestive heart failure. See P. Needleman et al, "Atriopeptin: A Cardiac Hormone Intimately Involved in Fluid, Electrolyte and Blood-Pressure Homeostasis", N. Engl. J. Med., 3147, 13 (1986) pp. 828-834, and M. Cantin et al in "The Heart as an Endocrine Gland", Scientific American, 254 (1986) pg. 7681. U.S. Pat. No. 4,740,499 to Olins discloses a method of prolonging the effect of atrial peptides comprising co-administering thiorphan (a compound within the scope of U.S. Pat. No. 4,513,009) or kelatorphan with an atrial peptide.

A class of drugs known to be effective in treating some types of hypertension is ACE inhibitors, which compounds are useful in blocking the rise in blood pressure caused by increases in vascular resistance and fluid volume due to the formation of angiotensin II from angiotensin I. For a review of ACE inhibitors, see M. Wyvratt and A. Patchett, "Recent Developments in the Design of Angiotensin Converting Enzyme Inhibitors" in Med. Res. Rev. Vol. 5, No. 4 (1985) pp. 483-531.

SUMMARY OF THE INVENTION

Novel compounds of the present invention are represented by the formulae ##STR6## wherein A is a monocyclic or bicyclic arylene or heteroarylene;

Q is hydrogen or R₉ CO--;

Y is --O--, --S-- or --NR₈ --;

R₁ is lower alkyl, cyclolower alkyl, aryl or heteroaryl;

R₂ and R₈ are independently hydrogen; lower alkyl; cyclolower alkyl; lower alkyl substituted with hydroxy, lower alkoxy, mercapto, lower alkylthio, aryl or heteroaryl; aryl; or heteroaryl;

R₃ is --OR₅ or --NR₅ R₆ ;

R₄ is --(CH₂)_(q) R₇ ; or R₂ and R₄ and the carbons to which they are attached complete a 5-, 6- or 7-membered carbocyclic ring;

R₅ and R₆ are independently selected from the group consisting of hydrogen, lower alkyl, hydroxy lower alkyl, lower alkoxy lower alkyl and aryl lower alkyl, or R₅ and R₆ together with the nitrogen to which they are attached form a 5-, 6- or 7-membered ring;

R₇ is hydrogen, hydroxy, lower alkoxy, lower alkanoyloxy, mercapto, lower alkylthio, aryl or heteroaryl;

R₉ is hydrogen, lower alkyl or aryl;

m is 1 or 2;

n is 0, 1 or 2;

p is 0 or 1; and

q is 0, 1 or 2;

and the pharmaceutically acceptable salts thereof.

A preferred group of compounds of formula I of the present invention is that wherein p is zero. Also preferred compounds of formula I are those wherein p is zero and n is zero or 1. A third preferred group of compounds is that wherein Y is --O-- or --NR₈ --. Still another preferred group of compounds of formula I is that wherein R₂ is hydrogen. For compounds of formula I wherein Y is --NR₈ --, R₈ is preferably hydrogen or phenyl.

A preferred group of compounds of formula II is that wherein A is phenylene. Also preferred are compounds of formula II wherein Y is --O-- or --NH--.

For compounds of formulae I and II, preferred values for Q are hydrogen and acyl. Other preferred compounds of formula I and II are those wherein R₁ is phenyl or lower alkyl-substituted phenyl, for example tolyl. Yet another preferred group of compounds is that wherein R₃ is hydroxy, lower alkoxy or aryl lower alkoxy. A preferred value for m is 1.

Especially preferred compounds of formula I are those wherein Y is --O-- or --NR₈ -- wherein R₈ is hydrogen or phenyl; R₁ is phenyl or tolyl; m is 1; R₂ is hydrogen; p is 0; and R₃ is hydroxy or lower alkoxy.

Especially preferred compounds of formula II are those wherein Y is --O-- or --NH--, R₁ is phenyl or tolyl, m is 1, A is phenylene and R₃ is hydroxy or alkoxy.

The invention also relates to the treatment of cardiovascular diseases with a combination of an N-(mercaptoalkyl)urea or carbamate of the present invention and an atrial natriuretic factor (ANF) and with a combination of an N-(mercaptoalkyl)urea or carbamate of the present invention and an angiotensin converting enzyme (ACE) inhibitor.

Other aspects of the invention relate to pharmaceutical compositions comprising an N-(mercaptoalkyl)urea or carbamate of this invention, alone or in combination with an ANF or an ACE inhibitor, and to methods of treatment of cardiovascular diseases comprising administering an N-(mercaptoalkyl)urea or carbamate of this invention, alone or in combination with an ANF or an ACE inhibitor, to a mammal in need of such treatment.

Still another aspect of the invention relates to a method of treating pain conditions by administering an N-(mercaptoalkyl)urea or carbamate of this invention, thereby inhibiting the action of enkephalinase in a mammal and eliciting an analgesic effect. Analgesic pharmaceutical compositions comprising said N-(mercaptoalkyl)ureas or carbamates are also contemplated.

An additional aspect of the invention relates to a method of treating nephrotoxicity resulting from immunosuppression therapy by administration of an N-(mercaptoalkyl)urea or carbamate of this invention.

DETAILED DESCRIPTION

As used herein, the term "lower alkyl" means straight or branched alkyl chains of 1 to 6 carbon atoms, and "lower alkoxy" similarly refers to alkoxy groups having 1 to 6 carbon atoms. Cyclolower alkyl means cyclic alkyl groups of 3 to 6 carbon atoms.

"Aryl" means mono-cyclic or fused ring bicyclic carbocyclic aromatic groups having 6 to 10 ring members and "heteroaryl" means mono-cyclic or fused ring bicyclic aromatic groups having 5-10 ring members wherein 1-2 ring members are independently nitrogen, oxygen or sulfur, wherein the carbon ring members of the aryl and heteroaryl groups are substituted by zero to three substituents selected from the group consisting of lower alkyl, hydroxy, halo, lower alkoxy, cyclolower alkyl, cyano, aminomethyl, trifluoromethyl, phenyl, phenoxy or phenylthio. Examples of carbocyclic aryl groups are phenyl, α-naphthyl and β-naphthyl, and examples of heterocyclic aryl groups are furyl, thienyl, pyrrolyl, benzofuryl, benzothienyl, indolyl and pyridyl. All positional isomers, e.g. 2-pyridyl, 3-pyridyl, are contemplated.

"Arylene" means a bivalent phenyl group or a fused ring bicyclic carbocyclic aromatic group joined to the molecule by a bivalent phenyl group, e.g. a group of the formula ##STR7## "Heteroarylene" similarly means a bivalent monocyclic or fused ring bicyclic heteroaryl group.

"Halo" refers to fluorine, chlorine, bromine or iodine radicals.

Certain compounds of the invention are acidic e.g., those compounds which possess a carboxyl group. These compounds form pharmaceutically acceptable salts with inorganic and organic bases. Examples of such salts are the sodium, potassium, calcium, aluminum, gold and silver salts. Also included are salts formed with pharmaceutically acceptable amines such as ammonia, alkyl amines, hydroxyalkylamines, N-methylglucamine and the like.

The salts may be formed by conventional means, as by reacting the free acid form of the product with one or more equivalents of the appropriate base or acid in a solvent or medium in which the salt is insoluble, or in a solvent such as water which is then removed in vacuo or by freeze-drying or by exchanging the cations of an existing salt for another cation on a suitable ion exchange resin.

Compounds of formulae I and II have at least one asymmetrical carbon atom and therefore include various stereoisomers. The invention includes all such isomers both in pure form and in admixture, including racemic mixtures.

An aspect of the present invention described above relates to the combination of a compound of formulae I or II with an ANF. As indicated by Needleman et al., a number of ANF have been isolated so far, all having the same core sequence of 17 amino acids within a cysteine disulfide bridge, but having different N-termini lengths. These peptides represent N-terminal truncated fragments (21-48 amino acids) of a common preprohormone (151 and 152 amino acids for man and rats, respectively). Human, porcine and bovine carboxy-terminal 28-amino acid peptides are identical and differ from similar peptides in rats and mice in that the former contain a methionine group at position 12 while the latter contain isoleucine. Various synthetic analogs of naturally occuring ANF's also have been found to have comparable biological activity. Examples of ANFs contemplated for use in this invention are α human AP 21 (atriopeptin I), α human AP 28, α human AP 23 (atriopeptin II or APII), α human AP 24, α human AP 25, α human AP 26, α human AP 33, and the corresponding rat sequence of each of the above wherein Met 12 is Ile. See Table I for a comparison of the peptides.

                  TABLE I                                                          ______________________________________                                         HUMAN                                                                          PEP-                                                                           TIDE                                                                           ______________________________________                                          AP 33                                                                                 ##STR8##                                                               AP 28  SLRRSSCFGGRMDRIGAQSGLGCNSFRY                                            AP 26  RRSSCFGGRMDRIGAQSGLGCNSFRY                                              AP 25  RSSCFGGRMDRIGAQSGLGCNSFRY                                               AP 24  SSCFGGRMDRIGAQSGLGCNSFRY                                                AP 23  SSCFGGRMDRIGAQSGLGCNSFR                                                 AP 21  SSCFGGRMDRIGAQSGLGCNS                                                   where the amino acids are designated by their single-letter abbrevi-           ations, namely                                                                 A      Ala     Alanine     M    Met   Methionine                               C      Cys     Cysteine    N    Asn   Asparagine                               D      Asp     Aspartic acid                                                                              P    Pro   Proline                                  F      Phe     Phenylalanine                                                                              Q    Gln   Glutamine                                G      Gly     Glycine     R    Arg   Arginine                                 I      Ile     Isoleucine  S    Ser   Serine                                   L      Leu     Leucine     Y    Tyr   Tyrosine;                                ______________________________________                                          M* is replaced by I (Ile), in the rat peptide; and the two C  (Cys)            residues are connected by a disulfide bridge.                            

Another aspect of the invention is the administration of a combination of an ACE inhibitor and a compound of formula I or II.

Examples of ACE inhibitors are those disclosed in the article by Wyvratt et al., cited above, and in the following U.S. patents: U.S. Pat. Nos. 4,105,776, 4,468,519, 4,555,506, 4,374,829, 4,462,943, 4,470,973, 4,470,972, 4,350,704, 4,256,761, 4,344,949, 4,508,729, 4,512,924, 4,410,520 and 4,374,847, all incorporated herein by reference; and the following foreign patents or published patent applications:

British Specification No. 2095682 published Oct. 6, 1982 discloses N-substituted-N-carboxyalkyl aminocarbonyl alkyl glycine derivatives which are said to be angiotensin converting enzyme inhibitors and have the formula ##STR9## either (A) R^(b) and R₉ ^(b) are OH, 1-6C alkoxy, 2-6C alkenyloxy, di-(1-6C alkyl)amino-(1-6C) alkoxy, 1-6C hydroxyalkoxy, acylamino-(1-6C)alkoxy, acyloxy-(1-6C)alkoxy, aryloxy, aryloxy-(1-6C)alkoxy, NH₂, mono- or di-(1-6C alkyl)amino, hydroxyamino or aryl-(1-6C)alkylamino;

R₁ ^(b) -R₅ ^(b), R₇ ^(b) and R₈ ^(b) are 1-20C alkyl, 2-20C alkenyl, 2-20C alkynyl, aryl, aryl-(1-6C) alkyl having 7-12C or heterocyclyl-(1-6C)alkyl having 7-12C;

R₆ ^(b) is cycloalkyl, polycycloalkyl, partly saturated cycloalkyl or polycycloalkyl, cycloalkyl-(1-6C)alkyl having 3-20C, 6-10C aryl, aryl-(1-6C)alkyl, aryl-(2-6C)alkenyl or aryl-(2-6C) alkynyl; or

R₂ ^(b) and R₃ ^(b) together with the C and N atoms to which they are attached or R₃ ^(b) and R₅ ^(b) together with the N and C atoms to which they are attached form an N-heterocycle containing 3-5C or 2-4C and a S atom;

all alkyl, alkenyl and alkynyl are optionally substituted by OH, 1-6C alkoxy, thio(sic), 1-6C alkylthio, NH₂, mono- or di(1-6C alkyl)amino, halogen or NO₂ ;

all `cycloalkyl` groups (including poly and partially unsaturated) are optionally substituted by halogen, 1-6C hydroxyalkyl, 1-6C alkoxy, amino-(1-6C alkyl)amino, di-(1-6C alkyl)amino, SH, 1-6C alkylthio, NO₂ or CF₃ ; and aryl groups are optionally substituted by OH, 1-6C alkoxy, NH₂, mono- or di-(1-6C alkyl) amino, SH, 1-6C alkylthio, 1-6C hydroxyalkyl, 1-6C aminoalkyl, 1-6C thioalkyl, NO₂, halogen, CF₃, OCH₂ O, ureido or guanidino; or

(B) R^(b) and R₉ ^(b) are H or 1-6C alkoxy;

R₁ ^(b) and R₂ ^(b) are H, 1-6C alkyl, aryl-(1-6C) alkyl having 7-12C or heterocyclyl-(1-6C) alkyl having 6-12C; R₃ ^(b) -R₅ ^(b), R₇ ^(b) and R₈ ^(b) are H or 1-6C alkyl;

R₆ ^(b) is cycloalkyl, polycycloalkyl, partly saturated cycloalkyl or polycycloalkyl, cycloalkyl-(1-6C) alkyl having 3-20C, aryl or aryl-(1-6C) alkyl; and

aryl has 6-10C and is optionally substituted by 1-6C alkyl, 2-6C alkenyl, 2-6C alkynyl, OH, 1-6C alkoxy, NH₂, mono-or di-(1-6C alkyl) amino, SH, 1-6C alkylthio, 1-6C hydroxyalkyl, 1-6C aminoalkyl, 1-6C thioalkyl, NO₂, halogen, CF₃, OCH₂ O, ureido or guanidino;

European Patent Application 0 050 800 published May 5, 1982 discloses carboxyalkyl dipeptides derivatives which are said to be angiotensin converting enzyme inhibitors and have the formula ##STR10## or a pharmaceutically acceptable salt thereof, wherein R^(c) and R^(6c) are the same or different and are hydroxy, lower alkoxy, lower alkenyloxy, dilower alkylamino lower alkoxy, acylamino lower alkoxy, acyloxy lower alkoxy, aryloxy, aryllower alkoxy, amino, lower alkylamino, dilower alkylamino, hydroxyamino, aryllower alkylamino, or substituted aryloxy or substituted aryllower alkoxy wherein the substituent is methyl, halo or methoxy; R^(1c) is hydrogen, alkyl of from 1 to 10 carbon atoms, substituted lower alkyl wherein the substituent is hydroxy, lower alkoxy, aryloxy, substituted aryloxy, heteroaryloxy, substituted heteroaryloxy, amino, lower alkylamino, diloweralkylamino, acylamino, arylamino, substituted arylamino, guanidino, imidazolyl, indolyl, lower alkylthio, arylthio, substituted arylthio, carboxy, carbamoyl, lower alkoxy carbonyl, aryl, substituted aryl, aralkloxy, substituted aralkyloxy, aralkylthio or substituted aralkylthio, wherein the aryl or heteroaryl portion of said substituted aryloxy, heteroaryloxy, arylamino, arylthio, aryl, aralkyloxy, aralkylthio group is substituted with a group selected from halo, lower alkyl, hydroxy, lower alkoxy, amino, aminomethyl, carboxyl, cyano, or sulfamoyl; R^(2c) and R^(7c) are the same or different and are hydrogen or lower alkyl; R^(3c) is hydrogen, lower alkyl, phenyl lower alkyl, aminoethylphenyl lower alkyl, hydroxyphenyl lower alkyl, hydroxy lower alkyl, acylamino lower alkyl, amino lower alkyl, dimethylamino lower alkyl, guanidino lower alkyl, imidazolyl lower alkyl, indolyl lower alkyl, or lower alkyl thio lower alkyl; R^(4c) and R^(5c) are the same or different and are hydrogen, lower alkyl or Z^(c), or R^(4c) and R^(5c) taken together form a group represented by Q^(c), U^(c), V^(c), Y^(c), D^(c) or E^(c), wherein; Z^(c) is ##STR11## wherein X^(1c) and X^(2c) independent of each other are O, S or CH₂, R^(8c) and R9c independent of each other are lower alkyl, lower alkenyl, lower alkynyl, cycloalkyl having 3 to 8 carbon atoms, hydroxy lower alkyl, or --(CH₂)_(n) ^(c) Ar^(c), wherein n^(c) is 0, 1, 2 or 3 and Ar^(c) is unsubstituted or substituted phenyl, furyl, thienyl or pyridyl, wherein said substituted phenyl, furyl, thienyl or pyridyl groups are substituted with at least one group that is independently selected from C₁ to C₄ alkyl, lower alkoxy, lower alkylthio, halo, CF₃ and hydroxy, or R^(8c) and R^(9c) taken together form a bridge W^(c), wherein W^(c) is a single bond or a methylene bridge or a substituted methylene bridge when at least one of X^(1c) and X^(2c) is methylene, or W^(c) is an alkylene or substituted alkylene bridge having 2 or 3 carbon atoms, said substituted methylene bridge or said substituted alkylene bridge having one or two substituents selected from lower alkyl, aryl and aryl lower alkyl groups, and p^(c) is 0, 1 or 2; with the proviso that at least one of R^(4c) and R^(5c) is Z^(c), with the proviso that if R^(4c) is Z^(c) and p^(c) is 0 then X^(1c) and X^(2c) must both be methylene, and with the proviso that if X^(1c) and X^(2c) are both methylene then R^(8c) and R^(9c) must form an alkylene bridge W^(c) ;

Q^(c) is ##STR12## wherein R^(8c), R^(9c), X^(1c) and X^(2c) are as defined above, p^(c) is 0, 1 or 2, q^(c) is 0, 1 or 2, with the proviso that the sum of p^(c) and q^(c) must be 1, 2 or 3, with the proviso that if p^(c) is 0 then X^(1c) and X^(2c) must be methylene, and with the proviso that if X^(1c) and X^(2c) are methylene then R^(8c) and R^(9c) taken together form a bridge W^(c), wherein W^(c) is as defined above;

V^(c) is ##STR13## wherein R^(8c), R^(9c), X^(1c) and X^(2c) are as defined above, p^(c) is 0, 1 or 2 and q^(c) is 0, 1 or 2, with the proviso that the sum of p^(c) and q^(c) is 1, 2 or 3, with the proviso that if X^(1c) and X^(2c) are CH₂ then R^(8c) and R^(9c) taken together form a bridge W^(c), wherein W^(c) is as defined above;

U^(c) is ##STR14## wherein W^(c) is as defined above (except that W^(c) may also be a methylene bridge when X^(1c) and X^(2c) are oxygen or sulfur), X^(1c) and X^(2c) are as defined above, p^(c) is 0, 1 or 2, q^(c) is 0, 1 or 2, proviso that the sum of p^(c) and q^(c) is 1 or 2, and with the proviso that if p^(c) is 0, X^(1c) must be CH₂ ;

Y^(c) is ##STR15## wherein G^(c) is oxygen, sulfur or CH₂, a^(c) is 2, 3 or 4 and b^(c) is 1, 2, 3, 4 or 5, with the proviso that the sum of a^(c) and b^(c) is 5, 6 or 7 or G^(c) is CH₂, a^(c) is 0, 1, 2 or b^(c) is 0, 1, 2 or 3 with the proviso that the sum of a^(c) and b^(c) is 1, 2 or 3, with the proviso that the sum of a^(c) and b^(c) may be 1, 2 or 3 only if R^(1c) is lower alkyl substituted with aralkylthio or aralkyloxy;

D^(c) is ##STR16## wherein F^(c) is O or S, j^(c) is 0, 1 or 2 and k^(c) is 0, 1 or 2, with the proviso that the sum of j^(c) and k^(c) must be 1, 2 or 3, and t^(c) is 1, 2 or 3, with the proviso that the sum of m^(c) and t^(c) must be 2, 3 or 4;

E^(c) is ##STR17## wherein L^(c) is O or S, u^(c) is 0, 1 or 2, with the proviso that the sum of u^(c) and v^(c) must be 1 or 2, and h^(c) is 1 or 2 and s^(c) is 1 or 2, with the proviso that the sum of h^(c) and s^(c) must be 2 or 3;

European Patent Application 0 079 522 published May 25, 1983 discloses N-carboxymethyl(amidino) lysyl-proline compounds which are said to be angiotensin converting enzyme inhibitors and have the formula where ##STR18## wherein: R^(d) and R^(2d) are independently hydrogen; loweralkyl; aralkyl; or aryl;

R^(1d) is hydrogen; branched or straight chain C₁₋₁₂ alkyl and alkenyl; C₃ -C₉ cycloalkyl and benzofused alkyl; substituted loweralkyl where the substituents are halo, hydroxy loweralkoxy, aryloxy, amino, mono- or diloweralkylamino, acylamino, arylamino, guanidino, mercapto, loweralkylthio, arylthio, carboxy, carboxamido, or loweralkoxycarbonyl; aryl; substituted aryl where the substituents are loweralkyl, loweralkoxy, or halo; arloweralkyl; arloweralkenyl; heteroarloweralkyl; heteroarloweralkenyl; substituted arloweralkyl, substituted arloweralkenyl, substituted heteroarloweralkyl, or substituted heteroarloweralkenyl where the aryl and heteroaryl substituents are halo, dihalo, loweralkyl, hydroxy, loweralkoxy, amino, aminoloweralkyl, acylamino, mono- or diloweralkylamino, carboxyl, haloloweralkyl, nitro, cyano, or sulfonamido, and where the loweralkyl portion of arloweralkyl may be substituted by amino, acylamino, or hydroxyl; ##STR19## where: X^(d) and Y^(d) taken together are --CH₂ --CH₂ --; --CH(R^(5d))--S--; --C(O)--CH₂ --; --CH₂ --C(O)--; --C(O)--O--; --C(O)--S--; --CH₂ --CH(OR^(4d))--; --C(O)--N(R^(4d))--; or --CH₂ --C(R^(4d))--R^(5d) ;

R^(4d) is hydrogen; loweralkyl; aryl; substituted aryl;

R^(5d) is hydrogen; loweralkyl; aryl or substituted aryl;

n^(d) is 1 to 3;

W^(d) is absent; --CH₂ --; or --C(O)--;

Z^(d) is --(CH₂)_(m) ^(d), where m^(d) is 0 to 2, provided that m^(d) may not be 0 and W^(d) may not be absent at the same time; and

R^(6d) is hydrogen; loweralkyl; halo; or OR^(4d) ;

R^(2d) is --(CH₂)_(r) ^(d) --B^(d) --(CH₂)_(s) ^(d) --NR^(7d) R^(15d)

where

r^(d) and s^(d) are independently 0 to 3;

B^(d) is absent; --O--; --S--; or --NR^(8d) ;

where R^(8d) is hydrogen; loweralkyl; alkanoyl; or aroyl; and

R^(7d) is ##STR20## where R^(9d) is loweralkyl; aralkyl; aryl; heteroaryl; or heteroarloweralkyl and these groups substituted by hydroxy, lower alkoxy or halo; carboxyl; carboxamido; nitromethenyl.

R^(10d) is hydrogen; loweralkyl; aryl; or amidino; R^(11d) is hydrogen; loweralkyl; cyano; amidino; aryl; aroyl; loweralkanoyl; --C(O)--NHR^(13d) ; --C(O)--OR^(13d) ; --NO₂ ; --SO₂ NH₂ ; or SO₂ R^(13d) ;

R^(12d) is hydrogen; loweralkyl; halo; aralkyl; amino; cyano; mono- or diloweralkylamino; or OR^(4d) ;

R13d is hydrogen; loweralkyl; or aryl;

R15d is hydrogen; lower alkyl; aralkyl; or aryl; ##STR21## constitute a basic heterocycle of 5 or 6 atoms or benzofused analogs thereof and optionally containing 1-3 N atoms, an oxygen, a sulfur, an S═O, or an SO₂ group optionally substituted by amino, lower alkyl amino, diloweralkyl amino, lower alkoxy, or aralkyl groups;

R^(3d) is C₃₋₈ cycloalkyl and benzofused C₃₋₈ cycloalkyl; perhydrobenzofused C₃₋₈ cycloalkyl; aryl; substituted aryl; heteraryl; substituted heteroaryl;

R^(14d) is hydrogen or loweralkyl; and, a pharmaceutically acceptable salt thereof;

European Patent 79022 published May 18, 1983 discloses N-amino acyl-azabicyclooctane carboxylic acid derivatives which have the formula ##STR22## hydrogen atoms at ring positions 1 and 5 are cis to each other and the 3-carboxy group has the endo orientation;

R₁ ^(e) is H, allyl, vinyl or the side chain of an optionally protected naturally occurring α-amino acid;

R₂ ^(e) is H, 1-6C alkyl, 2-6C alkenyl or aryl(1-C alkyl);

Y^(e) is H or OH and Z^(e) is H, or Y^(e) and Z^(e) together oxygen;

X^(e) is 1-6C alkyl, 2-6C alkenyl, 5-9C cycloalkyl, 6-12C aryl (optionally substituted by one to three 1-4C alkyl or alkoxy, OH, halo, nitro, amino (optionally substituted by one or two 1-4C alkyl), or methylenedioxy) or indol-3-yl);

European Patent 46953 published Mar. 10, 1982 discloses N-amino acyl-indoline and tetrahydro isoquinoline carboxylic acids which are angiotensin coverting enzyme inhibitors and have the formula ##STR23## n^(f) is 0 or 1; ##STR24## R₁ ^(f) and R₂ ^(f) are each 1-6C alkyl, 2-6C alkenyl, 5-7C cycloalkyl, 5-7C cycloalkenyl, 7-12C cycloalkylalkyl, optionally partially hydrogenated 6-10C aryl, 7-14C aralkyl or 5-7 membered monocyclic or 8-10 membered bicyclic heterocyclyl containing 1 or 2 S or O and/or 1-4N atoms; all R₁ ^(f) and R₂ ^(f) groups are optionally substituted, R₃ ^(f) is H, 1-6C alkyl, 2-6C alkenyl or 7-14C aralkyl.

The following Table II lists ACE inhibitors preferred for use in the combination of this invention.

                                      TABLE II                                     __________________________________________________________________________     PREFERRED ACE INHIBITORS                                                       __________________________________________________________________________             ##STR25##                                                                     R        R.sub.1                                                                          R.sub.2 R.sub.3                                              __________________________________________________________________________     spirapril                                                                             C.sub.6 H.sub.5 CH.sub.2 CH.sub.2                                                       Et                                                                               CH.sub.3                                                                                ##STR26##                                           enalapril                                                                             C.sub.6 H.sub.5 CH.sub.2 CH.sub.2                                                       Et                                                                               CH.sub.3                                                                               prolyl                                               ramipril                                                                              C.sub.6 H.sub.5 CH.sub.2 CH.sub.2                                                       Et                                                                               CH.sub.3                                                                                ##STR27##                                           perindopril                                                                           CH.sub.3 CH.sub.2 CH.sub.2                                                              Et                                                                               CH.sub.3                                                                                ##STR28##                                           indolapril                                                                            C.sub.6 H.sub.5 CH.sub.2 CH.sub.2                                                       Et                                                                               CH.sub.3                                                                                ##STR29##                                           lysinopril                                                                            C.sub.6 H.sub.5 CH.sub.2 CH.sub.2                                                       H NH.sub.2 (CH.sub.2).sub.4                                                              prolyl                                               quinapril                                                                             C.sub.6 H.sub.5 CH.sub.2 CH.sub.2                                                       Et                                                                               CH.sub.3                                                                                ##STR30##                                           pentopril (NHCH.sub.2)                                                                CH.sub.3 Et                                                                               CH.sub.3                                                                                ##STR31##                                           cilazapril                                                                            C.sub.6 H.sub.5 CH.sub.2 CH.sub.2                                                       H                                                                                 ##STR32##                                                                              ##STR33##                                           __________________________________________________________________________                ##STR34##                                                                     R       R.sub.2                                                      __________________________________________________________________________     captopril H       prolyl                                                       zofenopril                                                                               C.sub.6 H.sub.5 CO                                                                      ##STR35##                                                   pivalopril                                                                                ##STR36##                                                                              ##STR37##                                                   __________________________________________________________________________             ##STR38##                                                                     R        R.sup.1         R.sup.2                                        __________________________________________________________________________     fosinopril                                                                            C.sub.6 H.sub.5(CH.sub.2).sub.4                                                          ##STR39##      C.sub.6 H.sub.5                                __________________________________________________________________________

Compounds of the present invention can be made by methods well known to those skilled in the art. Two examples of synthetic methods are shown in Routes 1 and 2. In both routes, acid III is converted into isocyanate IV, for example by reaction with diphenylphosphorylazide at elevated temperatures (e.g. 80° C.) in the presence of a base such as triethylamine in a solvent such as toluene. The isocyanate need not be isolated. In Route 1, IV is reacted with an amine, alcohol, or thiol of formula V or VI to obtain compounds of formula I or II, respectively: ##STR40## wherein Q, Y, A, R₁, R₂, R₃, R₄, m, n, and p are as defined above.

In Route 2, the isocyanate IV is treated with benzyl alcohol to produce the benzyl carbamate, VII. The carbamate VII is then converted to an amine salt, VII, for example by treatment with HBr in acetic acid. The salt VIII is then reacted with a compound of formula IX or X in an inert solvent such as methylene chloride in the presence of a base such as triethylamine at room temperature to obtain compounds of formula I or II, respectively: ##STR41## wherein Q, A, R₁, R₂, R₃, R₄, m, n, and p are as defined above, and wherein Z is --NCO, --N(R₈)COCI, or --OC(O)CI, to obtain compounds wherein Y is --NH--, --NR₈ --, and --O--, respectively.

It is apparent that using methods well known to those skilled in the art, compounds of formula I and II can be converted to different compounds of formula I and II, respectively, by appropriate reaction of the Q and/or R³ variables, e.g. a thioester can be converted to a mercaptan and an acid can be converted to an amide or an ester to an acid.

Compounds of formula III, VI, IX and X are known in the art or can be prepared by methods well known in the art.

We have found that the novel compounds of the present invention are effective in treating cardiovascular disorders such as congestive heart failure, edema, renal insufficiency and various types of hypertension, particularly volume expanded hypertension. These novel compounds enhance both the magnitude and duration of the antihypertensive and natriuretic effects of endogenous ANF. Administration of a combination of an N-(mercaptoalkyl)urea or carbamate and an ACE inhibitor provides an antihypertensive and anticongestive heart failure effect greater than either the N-(mercaptoalkyl)urea or carabamate or ACE inhibitor alone. Administration of a combination of an N-(mercaptoalkyl)urea or carbamate of formula I or II and an exogenous ANF or ACE inhibitor is therefore particularly useful in treating hypertension or congestive heart failure.

In addition to the compound aspect, the present invention therefore also relates to treating cardiovascular disorders with an N-(mercaptoalkyl)urea or carbamate of formula I or II or with an N-(mercaptoalkyl)urea or carbamate of formula I or II in combination with an ANF or an ACE inhibitor, which methods comprise administering to a mammal in need of such treatment an amount of the N-(mercaptoalkyl)urea or carbamate effective to treat hypertension or congestive heart failure or an amount of a combination of an N-(mercaptoalkyl)urea or carbamate and ANF or ACE inhibitor effective to treat hypertension or congestive heart failure. The drug or combination of drugs is preferably administered in a pharmaceutically acceptable carrier, e.g. for oral or parenteral administration. The combinations of drugs may be co-administered in a single composition, or components of the combination therapy may be administered separately. Where the components are administered separately, any convenient combination of dosage forms may be used, e.g. oral N-(mercaptoalkyl)urea or carbamate/oral ANF, oral N-(mercaptoalkyl)urea or carbamate/parenteral ACE inhibitor, parenteral N-(mercaptoalkyl)urea or carbamate/oral ANF, parenteral N-(mercaptoalkyl)urea or carbamate/parenteral ACE inhibitor.

When the components of a combination of an N-(mercaptoalkyl)urea or carbamate and an ANF are administered separately, it is preferred that the N-(mercaptoalkyl)urea or carbamate be administered first.

The present invention also relates to a pharmaceutical composition comprising an N-(mercaptoalkyl)urea or carbamate for use in treating hypertension or congestive heart failure, to a pharmaceutical composition comprising both an N-(mercaptoalkyl)urea or carbamate and an ANF and to a pharmaceutical composition comprising both an N-(mercaptoalkyl)urea or carbamate and an ACE inhibitor.

The antihypertensive effect of N-(mercaptoalkyl)ureas or carbamates was determined according to the following procedure:

Male Sprague Dawley rats weighing 100-150 g were anesthetized with ether and the right kidney was removed. Three pellets containing DOC acetate (desoxycorticosterone acetate, DOCA, 25 mg/pellet) were implanted subcutaneously. Animals recovered from surgery, were maintained on normal rat chow and were allowed free access to a fluid of 1% NaCl and 0.2% KCl instead of tap water for a period of 17-30 days. This procedure results in a sustained elevation in blood pressure and is a slight modification of published procedures (e.g. Brock et al., 1982) that have been used to produce DOCA salt hypertension in the rat.

On the day of study, animals were again anesthetisized with ether and the caudal artery was cannulated for blood pressure measurement. Patency of the caudal artery cannula was maintained with a continuous infusion of dextrose in water at a rate of 0.2 ml/hr. Animals were placed into restraining cages where they recovered consciousness. Blood pressure was measured from caudal artery catheter using a Statham pressure transducer attached to a Beckman oscillographic recorder. In addition, a cardiovascular monitoring device (Buxco Electronics, Inc.) and a digital computer were used to calculate average blood pressures.

After an equilibration period of at least 1.5 hr., animals were dosed subcutaneously (1 ml/kg) with vehicle (methylcellulose, hereinafter MC) or N-(mercaptoalkyl)urea or carbamate and blood pressure was monitored for the next 4 hours.

A similar procedure can be used to determine the effect of N-(mercaptoalkyl)ureas or carbamates in combination with ACE inhibitors.

The antihypertensive effect of N-(mercaptoalkyl)ureas or carbamates in combination with ANF can be determined according to the following procedures:

Male spontaneously hypertensive rats (SHR), 16-18 weeks old, 270-350 g, are anesthetized with ether and the abdominal aorta is cannulated through the tail artery. The animals are then placed into restrainers to recover from anesthesia (in less than 10 min.) and remain inside throughout the experiments. Through a pressure transducer (Gould P23 series) analog blood pressure signals are registered on a Beckman 612 recorder. A Buxco digital computer is used to obtain mean arterial pressures. Patency of the arterial cannula is maintained with a continuous infusion of 5% dextrose at 0.2 ml/hr. Animals are allowed a 90-min equilibration period. The animals first undergo a challenge with an ANF such as atriopeptin II (AP II) or AP28 30 μg/kg iv and at the end of 60 min. are treated with drug vehicle or an N-(mercaptoalkyl)urea or carbamate subcutaneously. A second ANF challenge is administered 15 min. later and blood pressure is monitored for the next 90 min.

The antihypertensive effect in SHR of N-(mercaptoalkyl)urea or carbamates and ACE inhibitors, alone and in combination, can be determined as follows:

Animals are prepared for blood pressure measurement as described above. After stabilization, animals are dosed subcutaneously or orally with test drugs or placebo and blood pressure is monitored for the next 4 hr.

Using the above test procedures, a 10 mg/kg dose (po) of N¹ -[1(R)-acetylthio-3-(2-methylphenyl)-2-propyl]-N³ -ethoxycarbonylmethyl)urea has been found to produce a 36 mmHg drop in blood pressure in the DOCA salt model and a 18 mm Hg drop in blood pressure (30 mg/kg sc) in the ANF potentiation procedure. Similarly, carboxymethyl N-[1(R)-mercapto-3-(2-methylphenyl)-2-propyl]carbamate (10 mg/kg po) produced a 43 mm Hg drop in blood pressure in the DOCA salt model and a 35 mm Hg drop in the ANF model (30 mg/kg sc).

The compounds having structural formulae I and II have also been found to inhibit the activity of enzymes designated enkephalinases. The compounds are particularly useful for the inhibition of enkephalinase A, which is derived from the striata of both rats and humans. In in vitro tests, using test procedures for enkephalinase A inhibition well known to those skilled in the art, selected compounds having structural formula I and II have been found to inhibit the activity of the aforementioned enzyme. Therefore, the present invention also relates to a method of inhibiting the action of enkephalinases in a mammal thereby to elicit an analgesic effect with a compound of formula I or II, and to analgesic pharmaceutical compositions comprising compounds of formula I or II.

The use of atrial natriuretic peptides in the treatment of nephrotoxicity associated with the immunosuppressive cyclosporin was reported by Capasso et al in the American Journal of Hypertension, 3, 3 (1990), p. 204-210. Since compounds of this invention enhance endogenous ANF, they can be used alone to treat nephrotoxicity, or they can be administered in combination with exogenous ANF.

The compositions of this invention comprise an N-(mercaptoalkyl)urea or carbamate, an N-(mercaptoalkyl)urea or carbamate and an ANF or an N-(mercaptoalkyl)urea or carbamate and an ACE inhibitor in combination with a pharmaceutically acceptable carrier for administration to mammals. A variety of pharmaceutical forms is suitable, preferably for oral or parenteral administration, although mechanical delivery systems such as transdermal dosage forms are also contemplated.

The daily dose of the compound or combinations of this invention for treatment of hypertension or congestive heart failure is as follows: for N-(mercaptoalkyl)ureas or carbamates alone the typical dosage is 0.1 to 10 mg/kg of mammalian weight per day administered in single or divided dosages; for the combination of an N-(mercaptoalkyl)urea or carbamate and an ANF, the typical dosage is 0.1 to 10 mg of N-(mercaptoalkyl)urea or carbamate/kg mammalian weight per day in single or divided dosages plus 0.001 to 0.1 mg ANF/kg of mammalian weight per day, in single or divided dosages, and for the combination of an N-(mercaptoalkyl)urea or carbamate and an ACE inhibitor, the typical dosage is 0.1 to 10 mg of N-(mercaptoalkyl)urea or carbamate/kg mammalian weight per day in single or divided dosages plus 0.1 to 30 mg ACE inhibitor/kg of mammalian weight per day in single or divided dosages. The exact dose of any component or combination to be administered is determined by the attending clinician and is dependent on the potency of the compound administered, the age, weight, condition and response of the patient.

Generally, in treating humans having hypertension or congestive heart failure, the compounds or combinations of this invention may be administered to patients in a dosage range as follows: for treatment with an N-(mercaptoalkyl)urea or carbamate alone, about 5 to about 500 mg per dose given 1 to 4 times a day, giving a total daily dose of about 5 to 2000 mg per day; for the combination of an N-(mercaptoalkyl)urea or carbamate and ANF, about 5 to about 500 mg N-(mercaptoalkyl)urea or carbamate per dose given 1 to 4 times a day and about 0.01 to about 1 mg ANF given 1 to 6 times a day (total daily dosage range of 5 to 2000 mg day and 0.01 to 6 mg/day, respectively); and for the combination of an N-(mercaptoalkyl)urea or carbamate and an ACE inhibitor, about 5 to about 500 mg N-(mercaptoalkyl)urea or carbamate per dose given 1 to 4 times a day and about 5 to about 50 mg ACE inhibitor given 1 to 3 times a day (total daily dosage range of 5 to 2000 mg/day and 5 to 150 mg/day, respectively). Where the components of a combination are administered separately, the number of doses of each component given per day may not necessarily be the same, e.g. where one component may have a greater duration of activity, and will therefore need to be administered less frequently.

To produce an analgesic effect, compounds of this invention will be administered in a dosage range of from about 1 to about 100 mg/kg. The doses are to be administered at intervals of from 3 to 8 hours. However, the quantity and frequency of dosage will depend upon such factors as the severity of the pain, the general physical condition of the patient, the age and weight of the patient, and other factors recognized by the skilled clinician.

For treatment of edema, renal insufficiency or nephrotoxicity associated with immunosuppressive therapy, dosage ranges of the compounds of this invention are the same as for treatment of hypertension with the use of N-(mercaptoalkyl)ureas or carbamates alone or in combination with ANF.

Typical oral formulations include tablets, capsules, syrups, elixirs and suspensions. Typical injectable formulations include solutions and suspensions.

The typical acceptable pharmaceutical carriers for use in the formulations described above are exemplified by: sugars such as lactose, sucrose, mannitol and sorbitol, starches such as cornstarch, tapioca starch and potato starch; cellulose and derivatives such as sodium carboxymethyl cellulose, ethyl cellulose and methyl cellulose; calcium phosphates such as dicalcium phosphate and tricalcium phosphate; sodium sulfate; calcium sulfate; polyvinylpyrrolidone, polyvinyl alcohol; stearic acid; alkaline earth metal stearates such as magnesium stearate and calcium stearate, stearic acid, vegetable oils such as peanut oil, cottonseed oil, sesame oil, olive oil and corn oil; nonionic, cationic and anionic surfactants; ethylene gylcol polymers; betacyclodextrin; fatty alcohols and hydrolyzed cereal solids; as well as other nontoxic compatible fillers, binders, disintegrants, buffers, preservatives, antioxidants, lubricants, flavoring agents, and the like commonly used in pharmaceutical formulations.

Since the present invention relates to treatment of hypertension or congestive heart failure with a combination of active ingredients wherein said active ingredients may be administered separately, the invention also relates to combining separate pharmaceutical compositions in kit form. That is, two kits are contemplated, each combining two separate units: an N-(mercaptoalkyl)urea or carbamate pharmaceutical composition and an ANF pharmaceutical composition in one kit and an N-(mercaptoalkyl)urea or carbamate pharmaceutical composition and an ACE inhibitor pharmaceutical composition in a second kit. The kit form is particularly advantageous when the separate components must be administered in different dosage forms (e.g. oral and parenteral) or are administered at different dosage intervals.

Following are examples of procedures for preparing compounds of formulae I and II.

PREPARATION 1 1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propylisocyanate

Heat for 1 hr at 80° C. a solution of 2(S)-acetylthiomethyl-3-(2-methylphenyl)-propionic acid (6.0 g=24 mmole), diphenylphosphoryl azide (6.6 g=24 mmole) and triethylamine (2.4 g=24 mmol) in toluene (90 ml). Allow to cool to obtain a clear solution containing the title isocyanate.

PREPARATION 2 1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propylamine Hydrobromide

To the isocyanate solution of Preparation 1 (24 mmol), add benzyl alcohol (3.1 g=29 mmol) and heat at 80° C. for 1 hr. Concentrate in vacuo and partition with EtOAc and 1N NaHCO₃. Dry and concentrate to obtain crude benzyl N-[1(R)-acetylthio-3-(2-methylphenyl)-2-propyl]carbamate. Purify by silica gel chromatography, eluting with hexane:Et₂ O (2:1) to obtain a white solid, m.p. 73°-8° C., [α]_(D) ²⁶ =-2.0° (EtOH).

Add the resultant carbamate (3.2 g=9.0 mmol) to 33% HBr/HOAc (20 ml). After 4.5 hr, concentrate in vacuo. Treat the solid with Et₂ O (200 ml), filter and dry to obtain the title compound as a pale orange solid, m.p. 137°-8° C.

EXAMPLE 1 N¹ -[1(R)-Acetylthio-3-(2-Methylphenyl)-2Propyl]-N³ -(Ethoxycarbonylmethyl)urea

To the hydrobromide of Preparation 2 (0.45 g=1.5 mmol) and ethyl isocyanatoacetate (0.21 g=1.6 mmol) in CH₂ Cl₂ (25 ml), add triethylamine (0.16 g=1.6 mmol). Stir 18 hr, concentrate in vacuo, and partition with EtOAc and 1N HCl. Dry and concentrate to obtain a gum. Chromatograph on silica gel, eluting with 20% hexane:Et₂ O to obtain the title compound as a gum, [α]_(D) ²⁶ =-13.8° (EtOH).

EXAMPLE 2 N¹ -[1(R)-Mercapto-3-(2-Methylphenyl)-2-Propyl]-N³ -(Carboxymethyl)urea

To the ester of Example 1 (0.21 g=0.59 mmol) in EtOH (10 ml, nitrogen-purged), add 1.0N NaOH (3.0 ml, nitrogen-purged). Stir 0.5 hr, concentrate in vacuo, and add 1.0N HCl (3.0 ml). Extract with EtOAc, dry and concentrate to obtain the title compound as a gum, [α]_(D) ²⁶ =+13.3° (EtOH).

EXAMPLE 3 N¹ -[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]-N³ -(4-Ethoxycarbonylphenyl)urea

To the hydrobromide of Preparation 2 (0.45 g=1.5 mmol) and ethyl 4-isocyanatobenzoate (0.38 g=2.0 mmol) in CH₂ Cl₂ (25 ml) add triethylamine (0.20 g=2.0 mmol). Stir 3 hr, concentrate in vacuo, and partition with EtOAc and 1N HCl. Dry and concentrate to obtain an oil. Chromatograph on silica gel, eluting with hexane:Et₂ O (4:6) to obtain the title compound as a white solid, m.p. 84° C.

EXAMPLE 4 N¹ -[1(R)-Mercapto-3-(2-Methylphenyl)-2-Propyl]-N³ -(4-Ethoxycarbonylphenyl)urea

To the ester of Example 3 (0.23 g=0.55 mmol) in EtOH (8 ml, nitrogen-purged), add 1.00N NaOH (3.0 ml, nitrogen-purged). Stir 1 hr, concentrate in vacuo and add 1.0N HCl (3.0 ml). Extract with EtOAc, dry and concentrate to obtain the title compound as a gum, [α]_(D) ²⁶ =+31.8° (EtOH).

EXAMPLE 5 N¹ -[1(R)-Mercapto-3-(2-Methylphenyl)-2-Propyl]-N³ -(4-Carboxyphenyl)urea

To the ester of Example 3 (0.23 g=0.55 mmol) in EtOH (8 ml, nitrogen-purged), add 1.00N NaOH (3.0 ml, nitrogen-purged). Stir 72 hr, concentrate in vacuo and add 1.0N HCl (3.0 ml). Filter the solid and chromatograph on silica gel, eluting with CH₂ Cl₂ :MeOH:HOAc (95:4:0.5) to obtain the title compound as a white solid, MS: M+1=326.

EXAMPLE 6 N¹ -[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]-N³ -(Ethoxycarbonylmethyl)-N³ -Methylurea

To the isocyanate solution of Preparation 1 (3.0 mmol), add sarcosine ethyl ester (liberated from the hydrochloride, 0.55g=4.7 mmol). Heat at reflux 1 hr and concentrate in vacuo. Partition with EtOAc and 1N NaHCO₃, dry and concentrate. Chromatograph on silica gel, eluting with hexane:Et₂ O (1:3) to obtain the title compound as an oil, [α]_(D) ²⁶ =-12.5° (EtOH).

EXAMPLE 7 N¹ -[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]-N³ -(t-Butoxycarbonylmethyl)-N³ -Methylurea

In a manner similar to Example 6, use sarcosine t-butyl ester to obtain the title compound, a gum, [α]_(D) ²⁶ =-16.1° (EtOH).

EXAMPLE 8 N¹ -[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]-N³ -(Carboxymethyl)-N³ -Methylurea

Dissolve the ester of Example 7 (0.49 g=1.24 mmol) in CF₃ COOH (20 ml). After 0.5 hr, concentrate and partition between CH₂ Cl₂ --H₂ O. Dry and concentrate to obtain the title compound, a solid, m.p. 119° C.

EXAMPLE 9 N¹ -[1(R)-Mercapto-3-(2-Methylphenyl)-2-Propyl]-N³ -(Carboxymethyl)-N³ -Methylurea

Dissolve the acid of Example 8 (0.21 g=0.62 mmol) in 1.0N NaOH (2.0 ml, nitrogen-purged). After 5 min., add 1.0N HCl (2.0 ml). Extract with EtOAc, dry and concentrate to obtain the title compound, a gum, [α]_(D) ²⁶ =+15.0° (EtOH).

EXAMPLE 10 N¹ -[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]-N³ -(Ethoxycarbonylmethyl)-N³ -Phenylurea

In a manner similar to Example 6, use N-phenylglycine ethyl ester to obtain the title compound, a gum, [α]_(D) ²⁶ =+2.2° (EtOH).

EXAMPLE 11 N¹ -[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]-N³ -(t-Butoxycarbonylmethyl)-N³ -Phenylurea

In a manner similar to Example 6, use N-phenylglycine t-butyl ester to obtain the title compound, a gum, [α]_(D) ²⁶ =+1.9° (EtOH).

EXAMPLE 12 N¹ -[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]-N³ -(Carboxymethyl)-N³ -Phenylurea

In similar fashion to Example 8, convert the ester of Example 11 to the title compound, a gum, [α]_(D) ²⁶ =0.0° (EtOH).

EXAMPLE 13 N¹ -[1(R)-Mercapto-3-(2-Methylphenyl)-2-Propyl]-N³ -(Carboxymethyl)-N³ -Phenylurea

In a manner similar to Example 9, convert the acid of Example 12 to the title compound, a solid, m.p. 143°-6°, [α]_(D) ²⁶ =+45.6° (EtOH).

EXAMPLE 14 N¹ -[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]-N³ -(2-Benzyloxycarbonylethyl)urea

In a manner similar to Example 6, use β-alanine benzyl ester (liberated from the toluenesulfonate) to obtain the title compound, an oil, MS: M+1=429.

EXAMPLE 15 N¹ -[1(R)-Mercapto-3-(2-Methylphenyl)-2-Propyl]-N³ -(2-Carboxyethyl)urea

In a manner similar to Example 5 (1 hr reaction period), convert the ester of Example 14 to the title compound, a white solid, [α]_(D) ²⁶ =+11.4° (EtOH).

EXAMPLE 16 S-Ethoxycarbonylmethyl N-[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]thiocarbamate

In a manner similar to Example 6, use ethyl mercaptoacetate to obtain the title compound, an oil, [α]_(D) ²⁶ =-35.0° (EtOH).

EXAMPLE 17 S-Carboxymethyl N-[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]thiocarbamate

In a manner similar to Example 6, use mercaptoacetic acid to obtain the title compound, a foam, [α]_(D) ²⁶ =-32.0° (EtOH).

EXAMPLE 18 Ethoxycarbonylmethyl N-[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]carbamate

In a manner similar to Example 6, use ethyl glycolate to obtain the title compound, an oil, [α]_(D) ²⁶ =-28.8° (EtOH).

EXAMPLE 19 Carboxymethyl N-[1(R)-Mercapto-3-(2-Methylphenyl)-2-Propyl]carbamate

In a manner similar to Example 2, convert the ester of Example 18 to the title compound, a white solid, MS: M+1=284.

EXAMPLE 20 4-Methoxycarbonylphenyl N-[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]carbamate

In a manner similar to Example 1, use 4-methoxycarbonylphenyl chloroformate, chromatographing on silica gel and eluting with 0.5% MeOH:CH₂ Cl₂ to obtain the title compound as a pale yellow solid, m.p. 82°-3° C., [α]_(D) ²⁶ =-1.7° (EtOH).

EXAMPLE 21 Methoxycarbonyl(phenyl)methyl N-[1(R)-Acetylthio-3-(2-Methylphenyl)-2-Propyl]carbamate

Add methyl (±)-mandelate (5.0 g=30 mmol) in toluene (50 ml) over 0.5 hr to 20% COCl₂ /toluene (26.5 g=54 mmole COCl₂) at 0°. Add Et₃ N (3.0 g=30 mmol) in toluene (10 ml) over 0.3 hr. Stir 3.5 hr, allow to warm, wash with H₂ O, dry and concentrate to obtain the chloroformate as an oil. Use the resultant oil in the procedure of Example 1, chromatographing on silica gel and eluting with 1.5% MeOH/CH₂ Cl₂ to obtain the title compound as an oil, [α]_(D) ²⁶ =-16.5° (EtOH).

EXAMPLE 22 Carboxy(phenyl)methyl N-[1(R)-Mercapto-3-(2-Methylphenyl)-2-Propyl]carbamate

Treat the ester of Example 21 in a manner similar to Example 2, chromatographing on silica gel and eluting with CH₂ Cl₂ /MeOH/HOAc (95:4.5:0.5) to obtain the title compound as a solid, [α]_(D) ²⁶ =+21.5° (EtOH).

The following formulations exemplify some of the dosage forms of the compositions of this invention. In each, the term "active ingredient" designates a compound of formula I or II, preferably N¹ -[1(R)-acetylthio-3-(2-methylphenyl)-2-propyl]-N³ -(ethoxycarbonylmethyl)urea or carboxymethyl N-[1(R)-mercapto-3-(2-methylphenyl)-2-propyl]carbamate. However, these compounds can be replaced by equally effective amounts of other compounds of formula I or II.

EXAMPLE A

    ______________________________________                                         Tablets                                                                        No.   Ingredient         mg/tablet mg/tablet                                   ______________________________________                                         1     Active Compound    100       500                                         2     Lactose USP        122       113                                         3     Corn Starch, Food Grade, as a                                                                     30         40                                               10% Paste in Purified Water                                              4     Corn Starch, Food Grade                                                                            45        40                                         5     Magnesium Stearate  3         7                                                Total              300       700                                         ______________________________________                                    

METHOD OF MANUFACTURE

Mix Items Nos. 1 and 2 in suitable mixer for 10-15 minutes. Granulate the mixture with Item No. 3. Mill the damp granules through a coarse screen (e.g., 1/4", 0.63 cm) if necessary. Dry the damp granules. Screen the dried granules if necessary and mix with Item No. 4 and mix for 10-15 minutes. Add Item No. 5 and mix for 1-3 minutes. Compress the mixture to appropriate size and weight on a suitable tablet machine.

EXAMPLE B

    ______________________________________                                         Capsules                                                                       No.   Ingredient       mg/capsule  mg/capsule                                  ______________________________________                                         1     Active Compound  100         500                                         2     Lactose USP      106         123                                         3     Corn Starch, Food Grade                                                                          40          70                                         4     Magnesium Stearate NF                                                                            4           7                                                Total            250         700                                         ______________________________________                                    

METHOD OF MANUFACTURE

Mix Item Nos. 1, 2 and 3 in a suitable blender for 10-15 minutes. Add Item No. 4 and mix for 1-3 minutes. Fill the mixture into suitable two-piece hard gelatin capsules on a suitable encapsulating machine.

EXAMPLE C

    ______________________________________                                         Parenteral Preparation                                                         Ingredient          mg/vial  mg/vial                                           ______________________________________                                         Active Compound Sterile Powder                                                                     100      500                                               ______________________________________                                    

For reconstitution add sterile water for injection or bacteriostatic water for injection. 

We claim:
 1. A compound having the structural formula ##STR42## wherein Q is hydrogen or R₉ CO--;Y is --O--, --S-- or --NR₈ --; R₁ is lower alkyl, cyclolower alkyl or aryl; R₂ and R₈ are independently hydrogen; lower alkyl; aryl; cyclolower alkyl; or lower alkyl substituted with hydroxy, lower alkoxy, mercapto, lower alkylthio or aryl; R₃ is --OR₅ or --NR₅ R₆ ; R₄ is --(CH₂)_(q) R₇ ; or R₂ and R₄ and the carbons to which they are attached complete a 5-, 6- or 7-membered carbocyclic ring; R₅ and R₆ are independently selected from the group consisting of hydrogen, lower alkyl, hydroxy lower alkyl, lower alkoxy lower alkyl and aryl lower alkyl, or R₅ and R₆ together with the nitrogen to which they are attached form a 5-, 6- or 7-membered ring; R₇ is hydrogen, hydroxy, lower alkoxy, lower alkanoyloxy, mercapto, lower alkylthio or aryl; R₉ is hydrogen, lower alkyl or aryl; m is 1 or 2; n is 0, 1 or 2; p is 0 or 1; and q is 0, 1 or 2;or a pharmaceutically acceptable salt thereof.
 2. A compound of claim 1 wherein R₁ is phenyl or lower alkyl substituted phenyl and n is
 1. 3. A compound of claim 1 wherein R₃ is hydroxy or lower alkoxy.
 4. A compound of claim 1 wherein p is zero.
 5. A compound of claim 1 wherein R₂ is hydrogen or phenyl.
 6. A compound of claim 5 wherein Y is --O--.
 7. A compound of claim 5 wherein Y is --NR₈ -- and R₈ is hydrogen, alkyl or phenyl.
 8. A compound of claim 1 wherein m is 1, R₁ is 2-methylphenyl and p is zero, and wherein Q, Y, R₂, n and R₃ have the following values:

    ______________________________________                                         Q       Y            R.sub.2 n       R.sub.3                                   ______________________________________                                         Ac      --NH--       H       0       OEt                                       H       --NH--       H       0       OH                                        Ac      --N(CH.sub.3)--                                                                             H       0       OEt                                       Ac      --N(CH.sub.3)--                                                                             H       0       O-t-Bu                                    Ac      --N(CH.sub.3)--                                                                             H       0       OH                                        H       --N(CH.sub.3)--                                                                             H       0       OH                                        Ac      --N(C.sub.6 H.sub.5)--                                                                      H       0       OEt                                       Ac      --N(C.sub.6 H.sub.5)--                                                                      H       0       O-t-Bu                                    Ac      --N(C.sub.6 H.sub.5)--                                                                      H       0       OH                                        H       --N(C.sub.6 H.sub.5)--                                                                      H       0       OH                                        Ac      --NH--       H       1       O-Benzyl                                  H       --NH--       H       1       OH                                        Ac      --S--        H       0       OEt                                       Ac      --S--        H       0       OH                                        Ac      --O--        H       0       OEt                                       H       --O--        H       0       OH                                        Ac      --O--        --C.sub.6 H.sub.5                                                                      0       OMe                                       H       --O--        --C.sub.6 H.sub.5                                                                      0       OH                                        ______________________________________                                    

wherein Et is ethyl, Me is methyl, Bu is butyl and Ac is acetyl.
 9. A method for treating hypertension, congestive heart failure, edema, renal insufficiency or nephrotoxicity in mammals comprising administering to a mammal in need of such treatment an effective amount of a compound of claim
 1. 10. A pharmaceutical composition comprising an effective amount of a compound of claim 1 in a pharmaceutically acceptable carrier.
 11. A method for inhibiting the action of endopeptidases in a mammal thereby to elicit an analgesic effect comprising administering to a mammal in need of such treatment an analgesic-effective amount of a compound of claim
 1. 